Subacromial Corticosteroid Injection on Poststroke Hemiplegic Shoulder Pain: A Randomized, Triple-Blind, Placebo-Controlled Trial

Rah, Ueon Woo; Sh, Yoon; Moon, Do Jun; Kwack, Kyu-Sung; Hong, Ji Yeon; Lim, Yong Cheol; Joen, Bohyun

doi:10.1016/j.apmr.2012.02.002

Cited by 36 publications

(31 citation statements)

References 37 publications

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“…Snels and colleagues 137 showed no significant effect on pain reduction after glenohumeral injection. In contrast, Rah and others 138 showed a significant reduction in pain after corticosteroid injection compared with placebo. In the latter study, Rah et al selected only patients with shoulder joint pathology that was verified by ultrasonography.…”

Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 91%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,169

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Assessment Prevention and Treatment Of Hemiplegic Shouldermentioning

confidence: 91%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,169

840

View full text Add to dashboard Cite

show abstract

“…It has been contended that IACI, if given at an early (eg, freezing) stage, may possibly minimize the morbidity of the disorder. Early treatment with IACI may provide a chemical ablation PM R 10 (2018) [19][20][21][22][23][24][25][26][27] www.pmrjournal.org of the synovitis that can help prevent the development of the fibrosis and shorten the natural history of the disease [2,4,9,10]. However, not enough studies exist to prove the effectiveness of early injection.…”

Section: Introductionmentioning

confidence: 99%

Early Intra‐articular Corticosteroid Injection Improves Pain and Function in Adhesive Capsulitis of the Shoulder: 1‐Year Retrospective Longitudinal Study

Ahn

Lee

Kang

et al. 2017

PM&R

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“…They were randomly assigned to receive ultrasound-guided subacromial injection with triamcinolone (treatment group, n = 29) or lidocaine (placebo group, n = 29). After 8-week follow-up from the single injection, subjects receiving subacromial corticosteroid injection showed improved pain, disability, and active range of motion, and the duration of its efficacy continued up to 8 weeks (Rah et al, 2012). Yasar et al (2011) performed an RCT including 26 patients more than 8 months after stroke.…”

Section: Pharmacologic Therapiesmentioning

confidence: 98%

Current Evidence in the Management of Poststroke Hemiplegic Shoulder Pain

Alexander

2015

Journal of Neuroscience Nursing

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Hemiplegic shoulder pain is a common, complex, and distressing complication, which is related to stroke and occurs in the paralytic side of the patient. It not only presents in the early stage but also can persist into the chronic stage of stroke. The incidence of this complication varies from 12% to 58%, and the most common period of occurrence is at 8-10 weeks poststroke. The multifactorial etiology and underlying mechanisms make it intractable. It is difficult to get a clear description of the percentage of patients receiving adequate pain relief because of a large number of treatments and different results found in interventional studies performed in subjects in different stages of stroke. This review summarizes the incidence, temporal presentation, and etiology of hemiplegic shoulder pain and the current advances in its management and analyzes the reliability and validity of the studies. It suggests careful and regular assessment, and an integrated care model is necessary in practice.

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Subacromial Corticosteroid Injection on Poststroke Hemiplegic Shoulder Pain: A Randomized, Triple-Blind, Placebo-Controlled Trial

Cited by 36 publications

References 37 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Early Intra‐articular Corticosteroid Injection Improves Pain and Function in Adhesive Capsulitis of the Shoulder: 1‐Year Retrospective Longitudinal Study

Current Evidence in the Management of Poststroke Hemiplegic Shoulder Pain

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